US6979350B2 - Methods for regulating the flow of blood through the blood system - Google Patents
Methods for regulating the flow of blood through the blood system Download PDFInfo
- Publication number
- US6979350B2 US6979350B2 US10/619,725 US61972503A US6979350B2 US 6979350 B2 US6979350 B2 US 6979350B2 US 61972503 A US61972503 A US 61972503A US 6979350 B2 US6979350 B2 US 6979350B2
- Authority
- US
- United States
- Prior art keywords
- flexible
- blood flow
- blood
- flow stoppage
- memory metal
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2475—Venous valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
- A61F2/2418—Scaffolds therefor, e.g. support stents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
- A61F2210/0019—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S623/00—Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
- Y10S623/90—Stent for heart valve
Definitions
- the present invention relates to a device for regulating the flow of blood in blood vessels.
- the blood system and in particular the venal blood system of the legs and arms are provided with valves, at predetermined positions, which ensure that blood cannot flow back along the system in the direction from which it has just been pumped, to only be displaced in the direction of the heart.
- thrombosis can occur in especially the deep venal system. Following thinning of the blood, passage of the blood through the system is often again possible, but in this case the valves do not effectively close off the system and often leak. This causes an increased venal blood pressure in the direction of the ankles, which leads to many problems, such as varicose veins and the infamous “open leg”. This type of complaint is wide spread among people who spend a vast majority of their working hours in a standing position, for instance surgeons.
- the surface venal system of the leg is weaker than the deep system, and has the tendency to spontaneously widen, whereby the valves no longer function effectively, leading to varicose veins, which, apart from being highly unattractive, are also very painful. Major surgery is often required to deal with these blood vessel valve problems.
- varicose veins are presently surgically operated on, by either closing off the vein, which leads to a reduced blood flow capacity and extra pressure on surrounding blood vessels in order to ensure blood supply, or by completely removing the varicose veins, which leads to the same problem.
- An object of the present invention is to obviate one or more of these problems.
- the present invention provides a device for regulating the flow of blood in blood vessels, comprising one or more flow stoppage elements, each comprising:
- the device preferably further comprises:
- the flow stoppage element When occupying the blood flow stoppage configuration, the flow stoppage element encloses a temporary blood storage area between its open proximal end and the closed distal end. In this way between heartbeats, which force the blood through the venal system, any blood flowing in the opposite direction to the blood stream opens the proximal end of the stoppage element thereby forcing the sidewalls apart to enter the temporary blood storage area, instead of passing through the device to leak back into the blood vessel in the direction from where it has just been pumped. Since opening of the blood flow stoppage element effectively closes off the blood vessel, a very effective valve is provided.
- the flow stoppage element is preferably mounted on a support having such a form as to pass within a blood vessel. This provides extra stability.
- the support frame comprises a resilient wire and is biased toward an unrolled configuration.
- the stoppage element is preferably substantially conical in shape when occupying the blood flow stoppage configuration, the closed distal end being synonymous with the tip of the cone and the proximal end opening being synonymous with the flared base of the cone. This yields a highly effective valve working.
- the support is preferably adjustable between an introducing form, wherein the device is suitable for introducing into a blood vessel, and an expanded form suitable for supporting the stoppage element within a blood vessel at the desired working location thereof, and most preferably has such a form as to have substantially the same length when occupying its introducing form as when occupying its expanded form. Accordingly the device can be effectively introduced to a pre-desired location within a blood vessel, whereafter it is expandable to take up its working form. Since the support has substantially the same length when in its introducing form as in its expanded form, the stoppage elements remain effectively supported, and any damage ensuing from alteration of the length of the support within the blood system is effectively obviated.
- the support preferably comprises substantially separate frame sections for each of the one or more fluid passage stoppage elements.
- a support for a fluid stoppage element as referred to above.
- a method for regulating the flow of blood in the blood stream comprising introducing the above device into a blood vessel, so that the distal end thereof is arranged downstream from the proximal end, wherein the proximal end opening is closed by the pressure of blood flowing through the device, as blood is pumped through the system by the heart, wherein blood flowing in the opposite direction to which it is pumped between beats, flows into the proximal end of the device, which is subsequently thereby opened to force the sidewalls of the device against the blood vessel walls, thereby closing off the passage of blood in the blood vessel, wherein blood is trapped in the temporary blood storage area enclosed by the sidewalls of the device before a subsequent volume of blood being pumped through the device claps said sidewalls shut, thereby expelling blood out of the temporary storage area and further through the system.
- the introducer preferably comprises an elongated sliding member which is advanceable by a physician to forcibly displace the valve prosthesis from the hollow distal portion of said introducer into the blood vessel.
- FIGS. 1 to 7 refers to FIGS. 1 to 7 , wherein:
- FIG. 1 is a perspective view of the device according to the present invention.
- FIG. 2 is a side view of a support for a flow stoppage element according to the present invention
- FIG. 3 is a perspective view of the device from FIG. 1 , when occupying its introducing form, as to be introducible into a blood vessel;
- FIG. 4 is a perspective view showing the introduction of a device as shown in FIG. 1 into a blood vessel;
- FIG. 5 is a perspective view as in FIG. 4 , showing the device when occupying its blood flow through put position;
- FIG. 6 shows the device from FIG. 1 , with the support (not shown) in order to provide maximum clarity, when occupying its blood flow stoppage position within a blood vessel;
- FIG. 7 is a perspective view of two devices as shown in FIG. 1 , when placed in a vein in the leg.
- a device 1 ( FIG. 1 ) according to the present invention has a proximal end 2 and a distal end 4 .
- Blood flow stoppage elements 6 having the form of flexible hollow cones, are each supported on a substantially triangular frame section 8 of a support 10 , see also FIG. 2 .
- the valve elements 6 have an inner wall 12 and an outer wall 14 extending from a proximal end ( 2 ) opening 16 in the “flared” configuration to join together and terminate in the form of a pointed end section 17 at the distal end 4 .
- the support 10 is preferably made of a continuous length of memory metal, having, as shown in FIGS. 1 and 2 , three substantially separate frame sections 8 for supporting each valve element 6 .
- the frame 10 can be rolled up so that frame sections 8 partially overlap one another.
- the device 1 is easily introduced into a blood vessel.
- the device On being placed at its desired position within the blood system, the device, once the memory metal has achieved a particular predetermined temperature, will expand in order to assume its working form as shown in FIG. 1 , whereby since in its introducing form ( FIG. 3 ), an area of overlap exists between the terminal frame sections 8 , the device 1 remains substantially the same length in its working position ( FIG. 1 ) as in it introducing position ( FIG. 3 ).
- the support and blood stoppage elements are made of biocompatible material, whereby the blood stoppage elements are most preferably made of polytetrafluoroethylene (PTFE).
- PTFE polytetrafluoroethylene
- the device 1 is folded up into its introducing form, as shown in FIG. 3 , whereafter once arranged in an introducing device 18 , as shown in FIGS. 3 and 4 , the device 1 is introducible into a blood vessel 20 as shown in FIG. 4 .
- the blood is regulated in the blood vessel by the device as follows.
- Blood is pumped through the blood vessel 20 ( FIG. 5 ) and through the device 1 ( FIG. 5 ) on the beat of the heart. This means that instead of flowing at a constant rate through the blood vessel, that blood flows through the blood system, in particular through veins, as a series of pulses. Between each pulse, the blood is not being actively forced through the system and can flow back from where it came.
- the inner walls 12 are forced against the outer walls 14 of the stoppage elements 6 , thus forcing the blood temporarily stored therein out of the blood stoppage elements 6 and effecting the open channel to enable blood through flow.
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- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- External Artificial Organs (AREA)
- Surgical Instruments (AREA)
- Paper (AREA)
Abstract
Description
-
- a flareable proximal end, flareable between a flared, flow stoppage configuration and a substantially flattened, flow permitting configuration, and
- a middle section extending from the proximal end to terminate in a distal end.
-
- an opening associated with the proximal end, the middle section comprising one or more sidewalls extending from this proximal end opening to join together at the distal end, the sidewalls being displaceable, by the flow of blood through the device between the flared configuration, wherein the element encloses a temporary blood storage area, and the substantially flattened configuration wherein the one or more sidewalls lie substantially flat adjacent to each other.
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/619,725 US6979350B2 (en) | 1996-12-18 | 2003-07-15 | Methods for regulating the flow of blood through the blood system |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL1004827A NL1004827C2 (en) | 1996-12-18 | 1996-12-18 | Device for regulating blood circulation. |
NL1004827 | 1996-12-18 | ||
US08/992,350 US6287334B1 (en) | 1996-12-18 | 1997-12-17 | Device for regulating the flow of blood through the blood system |
US09/630,403 US6605112B1 (en) | 1996-12-18 | 2000-08-01 | Device for regulating the flow of blood through the blood system |
US10/619,725 US6979350B2 (en) | 1996-12-18 | 2003-07-15 | Methods for regulating the flow of blood through the blood system |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US09/630,403 Continuation US6605112B1 (en) | 1996-12-18 | 2000-08-01 | Device for regulating the flow of blood through the blood system |
Publications (2)
Publication Number | Publication Date |
---|---|
US20040015230A1 US20040015230A1 (en) | 2004-01-22 |
US6979350B2 true US6979350B2 (en) | 2005-12-27 |
Family
ID=19764090
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/992,350 Expired - Lifetime US6287334B1 (en) | 1996-12-18 | 1997-12-17 | Device for regulating the flow of blood through the blood system |
US09/630,403 Expired - Fee Related US6605112B1 (en) | 1996-12-18 | 2000-08-01 | Device for regulating the flow of blood through the blood system |
US10/619,725 Expired - Fee Related US6979350B2 (en) | 1996-12-18 | 2003-07-15 | Methods for regulating the flow of blood through the blood system |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/992,350 Expired - Lifetime US6287334B1 (en) | 1996-12-18 | 1997-12-17 | Device for regulating the flow of blood through the blood system |
US09/630,403 Expired - Fee Related US6605112B1 (en) | 1996-12-18 | 2000-08-01 | Device for regulating the flow of blood through the blood system |
Country Status (5)
Country | Link |
---|---|
US (3) | US6287334B1 (en) |
EP (1) | EP0856300B1 (en) |
AT (1) | ATE284185T1 (en) |
DE (1) | DE69731878D1 (en) |
NL (1) | NL1004827C2 (en) |
Cited By (151)
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US20080188928A1 (en) * | 2005-09-16 | 2008-08-07 | Amr Salahieh | Medical device delivery sheath |
US20090177269A1 (en) * | 2006-05-25 | 2009-07-09 | Interventional & Surgical Innovations, Llc | Device for regulating blood flow |
US20090216314A1 (en) * | 2005-11-10 | 2009-08-27 | Arshad Quadri | Balloon-Expandable, Self-Expanding, Vascular Prosthesis Connecting Stent |
US7658196B2 (en) | 2005-02-24 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | System and method for determining implanted device orientation |
US7670368B2 (en) | 2005-02-07 | 2010-03-02 | Boston Scientific Scimed, Inc. | Venous valve apparatus, system, and method |
US7682385B2 (en) | 2002-04-03 | 2010-03-23 | Boston Scientific Corporation | Artificial valve |
US20100082089A1 (en) * | 2008-10-01 | 2010-04-01 | Arshad Quadri | Delivery system for vascular implant |
US20100082094A1 (en) * | 2008-09-29 | 2010-04-01 | Arshad Quadri | Heart valve |
US7712606B2 (en) | 2005-09-13 | 2010-05-11 | Sadra Medical, Inc. | Two-part package for medical implant |
US7722666B2 (en) | 2005-04-15 | 2010-05-25 | Boston Scientific Scimed, Inc. | Valve apparatus, system and method |
US7748389B2 (en) | 2003-12-23 | 2010-07-06 | Sadra Medical, Inc. | Leaflet engagement elements and methods for use thereof |
US7775966B2 (en) | 2005-02-24 | 2010-08-17 | Ethicon Endo-Surgery, Inc. | Non-invasive pressure measurement in a fluid adjustable restrictive device |
US7776053B2 (en) | 2000-10-26 | 2010-08-17 | Boston Scientific Scimed, Inc. | Implantable valve system |
US7775215B2 (en) | 2005-02-24 | 2010-08-17 | Ethicon Endo-Surgery, Inc. | System and method for determining implanted device positioning and obtaining pressure data |
US7780725B2 (en) | 2004-06-16 | 2010-08-24 | Sadra Medical, Inc. | Everting heart valve |
US7780627B2 (en) | 2002-12-30 | 2010-08-24 | Boston Scientific Scimed, Inc. | Valve treatment catheter and methods |
US7780722B2 (en) | 2005-02-07 | 2010-08-24 | Boston Scientific Scimed, Inc. | Venous valve apparatus, system, and method |
US7799038B2 (en) | 2006-01-20 | 2010-09-21 | Boston Scientific Scimed, Inc. | Translumenal apparatus, system, and method |
US7811316B2 (en) | 2006-05-25 | 2010-10-12 | Deep Vein Medical, Inc. | Device for regulating blood flow |
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Also Published As
Publication number | Publication date |
---|---|
US6605112B1 (en) | 2003-08-12 |
ATE284185T1 (en) | 2004-12-15 |
EP0856300A1 (en) | 1998-08-05 |
DE69731878D1 (en) | 2005-01-13 |
EP0856300B1 (en) | 2004-12-08 |
US6287334B1 (en) | 2001-09-11 |
US20040015230A1 (en) | 2004-01-22 |
NL1004827C2 (en) | 1998-06-19 |
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